Your progression of CIDP

Hi, Sarah

My illness began in July 2010. I was doing aerobics in my living room, when my feet started to hurt. Of course I stopped, thinking the pain would go away. Went to Primary Care dr, who diagnosed me with plantar fasciitis. I was given steroids for one week. It didn't help. I saw a podiatrist. He sent me to physical therapy. I went to therapy three times weekly. On one visit I worked with a different therapist, who had never seen me before. That turned out to be important because she suspected there was more going on with me than just a foot problem. When I saw my regular therapist, he suggested I go see my PC dr again. By this time, I have a new dr, who referred me to a neurologist. The neurologist I saw diagnosed me with GBS Feb, 2011. My dr did nerve conduction studies and a spinal tap. He took me off work that day. Actually considered putting me in the hospital. But, he didn't. I had my first IVIG a week later. My illness was stable from Feb 2011 until May 2011. In May I had a biopsy done. My procedure was on a Thursday. Friday morning, I got ready to go out to breakfast, I thought everything would be okay. Until I fell, trying to climb the steps at my back door. I couldn't stand, or move my legs at all. My husband had to call his brother for help. They carried me to the car to take me to the hospital. I was there for a week. After that I started falling, every day. I had difficulty taking a shower, more difficulty walking, even standing. I was given another round of IVIG. It helped me with standing a bit, walking a little bit. One of the things I found to be most difficult was the pain. I couldn't stand to be touched. If someone brushed my hands, it was incredibly painful. Dr. said it was hypersensitivity. When I got out of the hospital, I went back to physical therapy, and more IVIG. My family and I wondered about the diagnosis, because I really wasn't getting better. The therapist also thought my ability was going downhill as well. When I first started my physical therapy, I used an exercise bike for 5 minutes. That stopped, and I was doing my exercised lying down. I did not have the strength to stand. I saw another doctor, who agreed with the diagnosis and treatment plan I already had. In June I had another fall, went to a different hospital, stayed there for two weeks. They said I needed inpatient physical therapy. I had occupational and physical therapy for two weeks. The therapists at the hospital told me I couldn't walk. I was measured for a wheelchair. I learned how to use a chair, cook while seated, transfer to an from the wheelchair to a car, a sofa and to the toilet. I was given plasmaphersis at the end of July I was still in a great deal of pain, I took 400 mg and 800 mg of Gabepentin three times per day. I also took triliptal and baclofen.

When I was released from the hospital. I went to another doctor. There is a Center of Excellence about 90 miles from my home. The dr at the center diagnosed me with CIDP. My original neurologist stood by his diagnosis of GBS, I had hoped my first neurologist would be able to work with the specialist, but he did not agree with the treatment plan. My new dr is a specialist in CIDP. He prescribed steroids along with the IVIG. I started to see improvement, so did the physical therapist.

Now, the doctors tell me my CIDP is in remission. I have not had any treatment other than Gabepentin 100 mg twice a day. No infusion since August 2012, no steroids either. I take Zantac everyday, the doctor says it is an antiflamatory. I was using a wheelchair in 2011, started using a walker, then a cane. I now I do not use any assist device. I stopped driving in 2011. I started driving again Thanksgiving 2012. I am able to take dance lessons (belly dancing), I still have to be careful about how much activity I do, the muscle cramps can be awful. I found a homeopathic medicine called CRAMP 911 to be very helpful relieving the cramps. You can get it on Amazon. it is a roll-on that you use on the muscle. It works in seconds. really.

If you think you are not being helped by the IVIG or any of you treatments, it might not be the right diagnosis for you. GBS wasn't the right one for me, it was close, just not the right one.

Be encouraged. I got better, so can you.

Much love, Ivy

Ivy,

How wonderful that you are in remission and doing well! I hope to get there one day!

I have a few questions about your treatment, if you don’t mind. Do you know what type of steroid you were taking? How much? and for how long did you take them. Was it in pill form or did you get infusions? I’m asking because my doctor doesn’t want me to have steroids because he said that the side effects can be worse than the CIDP. But I’ve read about a few others like you that were helped by them. Did you have bad side effects?

Thanks,

Paula

My research on this subject has revealed that GBS and CIDP are really the same thing except that GBS usually has rapid onset and then goes into remission and may never come back. If it does come back (recurring) OR not go away the diagnosis is usually changed to CIDP. Remember that both GBS and CIDP are generic terms for quite a few sub-groups so there is much variety in signs and symptoms and treatment. The major difference between the GBS and CIDP groups usually revolves around the speed of onset and the length of the ongoing condition. Neurologists do much navel gazing and/or bar drinking arguing about what diagnosis produces what condition name!

With respect to treatment, there is always the argument between steroidal and IVIG treatment. Steroids can "cure" BUT are quite risky with respect to long term use and side effects. Stop steroids and the "cure" can disappear. IVIG, while it might not produce that dramatic "cure", is generally regarded as very safe for long term use.

Blue Topaz said:

Hi, Sarah

...

When I was released from the hospital. I went to another doctor. There is a Center of Excellence about 90 miles from my home. The dr at the center diagnosed me with CIDP. My original neurologist stood by his diagnosis of GBS, I had hoped my first neurologist would be able to work with the specialist, but he did not agree with the treatment plan. My new dr is a specialist in CIDP. He prescribed steroids along with the IVIG. I started to see improvement, so did the physical therapist.

Now, the doctors tell me my CIDP is in remission. I have not had any treatment other than Gabepentin 100 mg twice a day. No infusion since August 2012, no steroids either. I take Zantac everyday, the doctor says it is an antiflamatory. I was using a wheelchair in 2011, started using a walker, then a cane. I now I do not use any assist device. I stopped driving in 2011. I started driving again Thanksgiving 2012. I am able to take dance lessons (belly dancing), I still have to be careful about how much activity I do, the muscle cramps can be awful. I found a homeopathic medicine called CRAMP 911 to be very helpful relieving the cramps. You can get it on Amazon. it is a roll-on that you use on the muscle. It works in seconds. really.

If you think you are not being helped by the IVIG or any of you treatments, it might not be the right diagnosis for you. GBS wasn't the right one for me, it was close, just not the right one.

Be encouraged. I got better, so can you.

Much love, Ivy

Nana, Thank you for your kind words.

The steroids I was taking are predniSONE 10 mg. I took 5 tablets per day. I stayed on that dosage for 30 days, after the 30 days, the dosage was 4.5 tablets for 30 days. The doctor decreased the dosage by .5 tablet per month, until I was weaned completely off the steroid. The only side effect I had was weight gain. I am now on Weight Watchers. Not so bad.

My original Neurologist was reluctant to give me steroids too. It was the specialist at the center of excellence who prescribed the predniSONE for me.

Nana_P said:

Ivy,

How wonderful that you are in remission and doing well! I hope to get there one day!

I have a few questions about your treatment, if you don't mind. Do you know what type of steroid you were taking? How much? and for how long did you take them. Was it in pill form or did you get infusions? I'm asking because my doctor doesn't want me to have steroids because he said that the side effects can be worse than the CIDP. But I've read about a few others like you that were helped by them. Did you have bad side effects?

Thanks,

Paula

Hiya,

I am 23 years old living in the UK. Ever since the age of 4 my Mum noticed I was always struggling to keep up my walking pace. I was always tripping over my own feet and constantly being rushed to A&E to have both knees stitched up. My Mum's initial thought was maybe she was buying the wrong shoes for me, however, after ensuring my shoes were the correct size we discovered that it was not this. A few months passed and when I turned 5 years old I was diagnosed with CIDP. I have over the years been on all the treatments suggested by my Neurologists and not one of them has had a positive effect. All treatments I have tried have failed and I therefore stopped all treatments by about the age of 14 as nothing seemed to have worked. I am on annual review with my Neurologist and due to see him again at the end of October.

I have never been able to walk fast, jog or run. I have circulation and sensation trouble in my arms, hands, legs and feet, two constant foot drops and no movement in either foot. I have severe muscle wastage particularly in my legs and hands and often my voice disappears (I guess to damaged throat muscles?). Grip is a struggle, opening cans, unscrewing bottle tops, lifting heavy objects and balance are all a trouble.

I am hoping to find a new Specialist or a Doctor who specialises in CIDP itself as I am not receiving any support at the moment from my Neurologist.

All I want is some steer as to what is happening with my health, I just want a better quality of life but nobody seems to listen to me.

My GP refuses to help me for something as simple as a chest infection or flu because I have this rare CIDP which they have no knowledge of.

The frustrating thing is, I am entitled to health care and nobody wants to know. Most days I just want to give up, if it wasn't for my Mum and loved ones I could have easily given up a few years back.

Kerri.

Thanks Ivy! I’m going to ask my doctor about it when I see him in 2 weeks.

Paula



Blue Topaz said:

Nana, Thank you for your kind words.

The steroids I was taking are predniSONE 10 mg. I took 5 tablets per day. I stayed on that dosage for 30 days, after the 30 days, the dosage was 4.5 tablets for 30 days. The doctor decreased the dosage by .5 tablet per month, until I was weaned completely off the steroid. The only side effect I had was weight gain. I am now on Weight Watchers. Not so bad.

My original Neurologist was reluctant to give me steroids too. It was the specialist at the center of excellence who prescribed the predniSONE for me.

Nana_P said:

Ivy,

How wonderful that you are in remission and doing well! I hope to get there one day!

I have a few questions about your treatment, if you don't mind. Do you know what type of steroid you were taking? How much? and for how long did you take them. Was it in pill form or did you get infusions? I'm asking because my doctor doesn't want me to have steroids because he said that the side effects can be worse than the CIDP. But I've read about a few others like you that were helped by them. Did you have bad side effects?

Thanks,

Paula

Hey Sarah

I know the exact date when mine started july 20,2013.Went to bed feeling great the night before.Played 27 holes of golf that day,was on a roll was playing so good.Woke up the next morning with the bottom of both feet numb and all 10 fingers numb as well.It really did happen over night.The symptoms got worse as time went on.I had my first 5 day treatments of IVIG 11 days ago.So far NO improvement yet.I see my neurologist this monday.Hopefully to see what our next plan of attack will be.I`am 60 years old never been sick a day in my life until now.I believe in my soul that I will once again play golf and live with this disease and go on with life